| NPI | 1194067280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101266686) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101266686) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-02-08 |